Please contact our dedicated pharmacy call centre on:
Tel: 041 395 4482
Email: [email protected]
ied limiujhhukjjjuhhits, levies, and Formulary/Reference pricing or exclusions that may be applicable.
Membre encouraged to make use of Designated Service Provider (DSP) Pharmacies and representative formulary medicine, where applicable, when claiming medicine; so that member out-of-pocket expenses may be avoided.
Quantity limitations are applied to certain medicines, categorised by drug category and dosage form. However, quantity limitations do not apply to medicine
Chronic Disease List-The Prescribed Minimum Benefit regulations require that Medical Schemes cover the diagnosis, medical management and medicine for a specified list of 27 chronic conditis the Chronic Disease List (CDL). All such ailments meeting approval criteria will be authorised under the Prescribed Minimum Benefit (PMB) Medication benefit.
polar Mood Disorder
honic Obstructive Pulmonary Disease
Chonic Renal Failure
Coronary Artery Disease
be authorised as per Scheme rules. Benefit limits apply, please contact your customer care centre for more assistance on your specific benefits.Diabetes Mellitus Type I